影响农村妇女孕产期保健的社会因素分析.pdfVIP

· 299· 3 影响农村妇女孕产期保健的社会因素分析① 宋爱华 唐晓君 王 宏 汪 洋② 重庆医科大学公共卫生学院儿少教研室(重庆) 400016 龙 敏 黄俊霞 重庆市荣昌县妇幼保健院 中国图书分类号 R173 文献标识码 C 文章编号2o吣)03-299-03 【摘 要l 目的：探讨影响农村妇女孕产期保健的社会因素。方法：采用定性研究方法，根据目的抽样的原则，抽取孕 产期保健服务的提供者、利用者以及地方级别的关键知情人士进行焦点小组访谈、个人深入访谈和关键人物访谈。结果：家庭 经济贫困的妇女相对经济好的妇女更不容易利用保健服务；新型农村合作医疗可以吸引妇女到医院分娩，提高住院分娩率，降 低母婴死亡率；交通对孕产妇利用保健服务有很大的影响；计划生育政策是计划外生育妇女利用孕产期服务最主要的障碍；流 动妇女对孕产期保健服务的利用率低；当地农村仍奉行一些关于生孩子的传统习俗。结论：建议政府制定相关政策限制日益增 长的医疗费用；加强流动人I：1和计划外生育妇女的管理；对农村妇女进行孕产期健康教育；扩大新型农村合作医疗的覆盖范围。 【关键词】 农村 妇女 孕产期保健 社会因素 Study on social factors influencing maternal he th care in rural area SONG Ai—Hua，TANG Xiao—Jun，WANG Hong，et a1．School of Public Health，Chongqing Medical University， Chongqing400016，China [Abstract Objective：To explore the social factors that influence rural women utilizing of maternal health care services．Methods： Qualitative study methods were used．The maternal health service providers，users and local key informants were recruited to carry out focus group discussion．in depth individual interview and key informants interview．Results：Women tIl poor financial situation were much harder to make use of maternal health care than women tIl good financial situation；Th e NCMS could attract women to go to hospital for delivery． increased the rate of hospital delivery，and reduced maternal and infant mortality rate；Transportation had much influence on utilization of maternal health services；Family planning policy Was the major obstacle for women t}I illegal birth utilizing maternal health services；The rate of migrant women utilizing maternal health services was low；Some traditional customs about delivery were still popular in some rural area．Conclusion：Government should formulate relevant policies to restrict the increasing medical costs；strengthen the management of women who are migrants and tIl